Demographic and clinical profile of venomous snake bite-related ocular manifestations among the paediatric age group in a tertiary care hospital

Background: CKD (chronic kidney disease) is one of the major complications of diabetes and hypertension. With increase in prevalence of non-communicable diseases, the patients presenting with the symptoms of CKD are also rising. Most of the patients suffering from CKD eventually land up on renal replacement therapy, putting extra burden economically as well as psychologically to the self and their family. The aim of the study is to find out the socio demographic and clinical profile of the patients suffering from CKD attending a tertiary care hospital in Delhi.Methods: It was a record based descriptive analysis, conducted between January 2019 and June 2019 in one of the ESIC (Employee State Insurance Corporation) hospital of Delhi. Medical Records of the only those patients were considered whose complete data were present in the record file. Data about Socio demographic profiles , clinical data, duration of CKD, duration of haemodialysis, viral markers, number of blood transfusions, vascular access, number of failed AV fistula etc. were entered in MS Excel and analysed through SPSS 11.Results: Hospital records of 473 CKD patients undergoing hemodialysis were analyzed. It was found that 315 (67%) were males and 158 (33%) were females. Majority of the patients i.e. 245 were in the age group of 41-60 years followed by 166 who were in the age group of 21 to 40. Out of total patients, 195 (41.2%) participants were undergoing hemodialysis twice a week, 276 (58.4%) thrice a week, 2 (0.4) patients were undergoing hemodialysis session four times a week. Majority of the participants i.e. 414 (88%) were Hindu. Out of total 473 participants, 439 (93%) participants had sero negative for viral marker (i.e. HbsAg, HCV, HIV I and II) and 33 (7%) participants were sero positive for viral marker. Most common etiology of CKD was found to be hypertension in our study followed by diabetes.Conclusions: Patients suffering from chronic kidney diseases are increasing day by day with increasing prevalence of hypertension. Most of the patients of CKD patients were middle aged males. Most of the patients have to visit 3 times a week to any health care institution for hemodialysis. Many of the patients are getting infected with viral hepatitis during course of the illness.

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A Retrospective Study on Most Common Symptoms in Dengue Viral Infection of Paediatric Age Group Presented in a Tertiary Care Hospital, Visakhapatnam

Indian Journal of Public Health Research & Development ◽

10.37506/ijphrd.v11i3.1492 ◽

2020 ◽

Keyword(s):

Retrospective Study ◽

Viral Infection ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Paediatric Age

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Ocular manifestations of snake bites in a tertiary care hospital in rural Northern Kerala, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20170456 ◽

2017 ◽

Vol 5 (3) ◽

pp. 829 ◽

Cited By ~ 2

Author(s):

Twinkle Ann George ◽

Asha A. V. ◽

Risha Ravindran ◽

Latha N. V.

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Capillary Leak Syndrome ◽

Snake Bite ◽

Care Hospital ◽

Capillary Leak ◽

Ocular Manifestations ◽

Ocular Symptoms ◽

Snake Bites

Background: Snake bite is a neglected public health problem worldwide especially in the tropics. Studies on ocular manifestations are still fragmentary. The objective of the study was to find ocular manifestations among the snake bite cases with systemic envenomation admitted in the intensive care units in a tertiary care hospital in rural North Kerala, India during a period of 4 years from May 2012 to May 2016.Methods: It was a prospective, observational, cross sectional study. Institutional ethical committee approval was obtained for the study. A descriptive analysis of snake bite cases with systemic envenomation was done. Other snake bites are excluded from the study. Patients who needed ophthalmological opinion for ocular symptoms were analyzed.Results: Total suspected snake bites admitted in ICUs during the study period were 638. Only 7 patients (1%) with haematotoxic envenomation needed ophthalmological opinion for ocular symptoms. Patients in the present study ranged between the age of 11 and 53. Ocular lesions diagnosed among the 6 patients who developed capillary leak syndrome, were bilateral angle closure glaucoma in 3 patients, pan uveitis, disc edema and retinal haemorrhages in 2 patients, bilateral macular oedema. Youngest patient had intracranial haemorrhage and bilateral orbital hemorrhage, leading to exposure keratitis. SAV was administered in all patients ranging from 11-30 vials. All the patients except the patient with orbital haemorrhage had a grave prognosis. Still only one of these patients expired on day 3, rest all patients had better vision and survived due to timely management.Conclusions: A timely intervention especially at the initial presentation of capillary leak syndrome, can decrease the morbidity and save the life of a patient.

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CLINICAL PROFILE OF SNAKE BITE PATIENTS AT A TERTIARY CARE HOSPITAL IN NORTHERN INDIA- AN OBSERVATIONAL STUDY

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2018/608 ◽

2018 ◽

Vol 5 (42) ◽

pp. 2977-2982

Author(s):

Sudhir Kumar Verma ◽

Rajesh Kumar Arya ◽

Vivek Kumar ◽

Harish Gupta ◽

Narendra Kumar Tiwary ◽

...

Keyword(s):

Observational Study ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Snake Bite ◽

Clinical Profile ◽

Care Hospital ◽

Northern India

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A study of the clinical profile and management of malaria in pediatric age group in a tertiary care hospital in Mangalore

Asian Pacific Journal of Tropical Disease ◽

10.1016/s2222-1808(14)60432-1 ◽

2014 ◽

Vol 4 ◽

pp. S158-S161

Author(s):

Prasad Nayak N ◽

Roopa P. Nayak ◽

Santhosh T. Soans ◽

Samith Alva ◽

Zaheer Ahamed ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Clinical Profile ◽

Care Hospital ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group

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Clinical profile of snake bite patients in tertiary care hospital in Himachal Pradesh: a prospective study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20182833 ◽

2018 ◽

Vol 6 (7) ◽

pp. 2444 ◽

Cited By ~ 1

Author(s):

Madan Kaushik ◽

Vikas Banyal ◽

Sachin Sondhi ◽

Manish K. Thakur ◽

Aseem Kaushik

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Himachal Pradesh ◽

Snake Bite ◽

Clinical Profile ◽

Care Hospital ◽

Female Ratio ◽

Medical College ◽

Gandhi Medical College ◽

A Prospective Study

Background: To study clinical profile of snake bite patients in tertiary care hospital in Indra Gandhi Medical College at Shimla, Himachal Pradesh of North India.Methods: Hospital based prospective observational study was conducted in the Department of Medicine, for the duration of one year from 1st June2013 to 31st May 2014.Results: A total of 78 patients were admitted with mean age of 38.46 years with male to female ratio of 1:1.6. Seasonal variation with peak incidence during rainy season was seen. Most common snake identified was green coloured and peak timing of snake bite was between 07:00am-04:00pm. There was delay in admission of more than 6 hours in 66.67% of cases. Hemotoxicity was predominant manifestation seen in 62.82% of cases and persistence of coagulopathy was most common complication (51.02%) despite giving optimal ASV. There was paucity in ASV administration seen in only 59.46% of referred patients. Mean ASV vials used were 23.41 vials ±8.72 vials.Conclusions: Mass education is required at both general population and health professional levels to improve snake bite management and monovalent ASV against Green pit viper is more practical option to manage cases in this region.

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A study of clinical profile of patients with Dengue fever at a tertiary care hospital

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20180085 ◽

2018 ◽

Vol 5 (1) ◽

pp. 202 ◽

Cited By ~ 1

Author(s):

Sreenivasulu T. ◽

Jahnavi K.

Keyword(s):

Dengue Fever ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Clinical Profile ◽

Care Hospital ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Presenting Symptoms

Background: Dengue is the most common fever. Among all flavi-viruses, it is the most common. It can cause around 50-100 million infections. Every year 2-5 lakh cases of Dengue hemorrhagic fever occur. The objective of the research was to study clinical profile of patients with Dengue fever at a tertiary care hospital.Methods: Present study was cross sectional study. The patients were interviewed and examined at one point of time and later they were never followed which is similar to the cross-sectional study design. Present study was carried out in the hospital. This was done in the department of General Medicine of a tertiary care hospital. Present study was carried out over a period of one year.Results: In the present study, there were 78 males and 22 females. The sex ratio was 3.5:1. Maximum number of males (29.5%) was in the age group of 15-25. Among females, the maximum (40.9%) were in the age group of 26-35 years and 46-55 years (9%). The most common presenting symptom was fever in all cases followed by headache in 90%. Among bleeding manifestations, epistaxis, gum bleeding and hematuria (15%) were the common symptoms. Most patients presented with generalized lymphadenopathy in 52%. 56 patients showed only hepatomegaly and 46 splenomegaly, and 30 patients showed hepato splenomegaly. 99 showed leucopenia and 10 were anemic and 25 showed platelet count less than 1,50,000cells/cumm.Conclusions: Males were commonly affected. Younger age group of 15-25 was most commonly affected and fever and headache were the most common presenting symptoms. These findings help physicians in early diagnosis of dengue by suspecting these features as of dengue and can prevent morbidity and mortality associated with dengue.

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